State Info

Alabama (AL)

Division of Workers Compensation
501-682-4500
web site

Alabama flag

Number of State Forms: 24
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Alaska (AK)

Division of Insurance
907-277-1377
web site

Alaska flag

Number of State Forms: 56
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Arizona (AZ)

Industrial Commission
602-364-2140
web site

Arizona flag

Number of State Forms: 66
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Form Submission Requirements and Preferences:

Preferred method: Fax or Mail
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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Arkansas (AR)

Workers Compensation Commission
602-364-4994
web site

Arkansas flag

Number of State Forms: 50
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Form Submission Requirements and Preferences:

Preferred method: EDI or Email
Accept EDI? Yes
Accept Email? Yes
Accept Fax? Yes
Accept US Mail? No

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California (CA)

Division of Workers Compensation
800-736-7401
web site

California flag

Number of State Forms: 377
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No, Discontinued
Accept Fax? No
Accept US Mail? No

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Colorado (CO)

Division of Workers' Compensation
303-866-4500
web site

Colorado flag

Number of State Forms: 90
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Connecticut (CT)

Workers' Compensation Commission
203-325-3881
web site

Connecticut flag

Number of State Forms: 56
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Form Submission Requirements and Preferences:

Preferred method: EDI or Online
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Delaware (DE)

Office of Safety and Health Consultation
302-453-4350
web site

Delaware flag

Number of State Forms: 27
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Form Submission Requirements and Preferences:

Preferred method: Fax or Mail
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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District of Columbia (DC)

Department of Employment Services
302-451-3423
web site

District of Columbia flag

Number of State Forms: 19
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Form Submission Requirements and Preferences:

Preferred method: Email, Mail or Fax
Accept EDI? No
Accept Email? Yes
Accept Fax? Yes
Accept US Mail? Yes

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Federal/OSHA (FD)

No organization

Federal/OSHA flag

Number of State Forms: 0
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Form Submission Requirements and Preferences:

Preferred method: Mail or Fax
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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Florida (FL)

Division of Workers' Compensation
850.921.1119
web site

Florida flag

Number of State Forms: 76
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Georgia (GA)

State Board of Workers' Compensation
808-322-4808
web site

Georgia flag

Number of State Forms: 87
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Hawaii (HI)

Department of Labor
208-263-7544
web site

Hawaii flag

Number of State Forms: 66
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Form Submission Requirements and Preferences:

Preferred method: Mail or Fax
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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Idaho (ID)

Industrial Commission
208-799-5035
web site

Idaho flag

Number of State Forms: 76
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Form Submission Requirements and Preferences:

Preferred method: EDI or Email
Accept EDI? Yes
Accept Email? Yes
Accept Fax? Yes
Accept US Mail? Yes

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Illinois (IL)

No organization

Illinois flag

Number of State Forms: 79
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? Yes

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Indiana (IN)

No organization

Indiana flag

Number of State Forms: 35
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Iowa (IA)

No organization

Iowa flag

Number of State Forms: 45
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Kansas (KS)

No organization

Kansas flag

Number of State Forms: 85
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Kentucky (KY)

No organization

Kentucky flag

Number of State Forms: 76
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Longshore & Harbor (LH)

No organization


Number of State Forms: 35
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Form Submission Requirements and Preferences:

Preferred method: N/A
Accept EDI? N/A
Accept Email? N/A
Accept Fax? N/A
Accept US Mail? N/A

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Louisiana (LA)

No organization

Louisiana flag

Number of State Forms: 85
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Maine (ME)

No organization

Maine flag

Number of State Forms: 59
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Maryland (MD)

No organization

Maryland flag

Number of State Forms: 66
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Massachusetts (MA)

No organization

Massachusetts flag

Number of State Forms: 68
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Form Submission Requirements and Preferences:

Preferred method: Online
Accept EDI? No
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Michigan (MI)

No organization

Michigan flag

Number of State Forms: 62
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Form Submission Requirements and Preferences:

Preferred method: Mail or Fax
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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Minnesota (MN)

No organization

Minnesota flag

Number of State Forms: 73
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Form Submission Requirements and Preferences:

Preferred method: EDI or Online
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Mississippi (MS)

No organization

Mississippi flag

Number of State Forms: 23
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Missouri (MO)

No organization

Missouri flag

Number of State Forms: 164
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Montana (MT)

No organization

Montana flag

Number of State Forms: 51
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Nebraska (NE)

No organization

Nebraska flag

Number of State Forms: 79
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Nevada (NV)

No organization

Nevada flag

Number of State Forms: 70
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Form Submission Requirements and Preferences:

Preferred method: Fax or Mail
Accept EDI? No
Accept Email? Yes
Accept Fax? No
Accept US Mail? No

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New Hampshire (NH)

No organization

New Hampshire flag

Number of State Forms: 54
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? Yes
Accept Fax? Yes
Accept US Mail? Yes

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New Jersey (NJ)

No organization

New Jersey flag

Number of State Forms: 78
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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New Mexico (NM)

No organization

New Mexico flag

Number of State Forms: 64
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? Yes

More Info

New York (NY)

Workers' Compensation Board
361-883-2551
web site

New York flag

Number of State Forms: 255
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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North Carolina (NC)

No organization

North Carolina flag

Number of State Forms: 75
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? Yes
Accept Fax? Yes
Accept US Mail? Yes

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North Dakota (ND)

No organization

North Dakota flag

Number of State Forms: 59
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Form Submission Requirements and Preferences:

Preferred method: Online, Fax or Mail
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

More Info

Ohio (OH)

No organization

Ohio flag

Number of State Forms: 194
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Form Submission Requirements and Preferences:

Preferred method: Online or Fax
Accept EDI? No
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

More Info

Oklahoma (OK)

No organization

Oklahoma flag

Number of State Forms: 140
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Form Submission Requirements and Preferences:

Preferred method: Mail Only
Accept EDI? No
Accept Email? No
Accept Fax? No
Accept US Mail? Yes

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Oregon (OR)

No organization

Oregon flag

Number of State Forms: 175
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Form Submission Requirements and Preferences:

Preferred method: Fax or Mail
Accept EDI? No; in progress
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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Pennsylvania (PA)

No organization

Pennsylvania flag

Number of State Forms: 104
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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Rhode Island (RI)

No organization

Rhode Island flag

Number of State Forms: 49
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

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South Carolina (SC)

No organization

South Carolina flag

Number of State Forms: 52
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? Yes

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South Dakota (SD)

No organization

South Dakota flag

Number of State Forms: 32
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Form Submission Requirements and Preferences:

Preferred method: Online or Mail
Accept EDI? No
Accept Email? No
Accept Fax? No
Accept US Mail? Yes

More Info

Tennessee (TN)

No organization

Tennessee flag

Number of State Forms: 84
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

More Info

Texas (TX)

Division of Workers' Compensation (DWC) Main Office
210-593-0070
web site

Texas flag

Number of State Forms: 234
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

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U.S. Forms (US)

No organization

U.S. Forms flag

Number of State Forms: 269
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Form Submission Requirements and Preferences:

Preferred method: N/A
Accept EDI? N/A
Accept Email? N/A
Accept Fax? N/A
Accept US Mail? N/A

More Info

Utah (UT)

Labor Commission
804-864-7001
web site

Utah flag

Number of State Forms: 143
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

More Info

Vermont (VT)

Department of Labor
425-990-1400
web site

Vermont flag

Number of State Forms: 39
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

More Info

Virginia (VA)

Workers' Compensation Commission
802-828-2286
web site

Virginia flag

Number of State Forms: 77
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? Yes
Accept US Mail? Yes

More Info

Washington (WA)

Department of Labor & Industries -- Workers' Comp Claims
360-664-6350
web site

Washington flag

Number of State Forms: 268
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Form Submission Requirements and Preferences:

Preferred method: Online Only
Accept EDI? No
Accept Email? No
Accept Fax? No
Accept US Mail? No

More Info

West Virginia (WV)

Insurance Commission -- Workers' Compensation
307-358-2147
web site

West Virginia flag

Number of State Forms: 73
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? No
Accept US Mail? No

More Info

Wisconsin (WI)

Bureua of Claims Management
608-266-1340
web site

Wisconsin flag

Number of State Forms: 75
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Form Submission Requirements and Preferences:

Preferred method: EDI
Accept EDI? Yes
Accept Email? No
Accept Fax? Yes
Accept US Mail? No

More Info

Wyoming (WY)

Workers' Compensation -- Claims
307-777-6763
web site

Wyoming flag

Number of State Forms: 28
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Form Submission Requirements and Preferences:

Preferred method: Mail Only
Accept EDI? No
Accept Email? No
Accept Fax? No
Accept US Mail? Yes

More Info